Simpson grade 2 resection and tumor recurrence in ventrally localized spinal meningiomas

Üçler, Necati; Hergunsel, Batu; Öztürk, Sait; Kozan, Serpil; Kaplan, Metin

doi:10.5137/1019-5149.jtn.22416-17.2

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Spinal cord compression damages neural tissue both by mechanical and vascular mechanisms, especially in the chronic and neglected spinal meningioma as presented in this case. Since then, large series have confirmed the usually favorable outcome following removal of these tumors but have also emphasized the importance of the preoperative neurological deficit as a predictor of a poor outcome [2,12].…”

Section: Discussionmentioning

confidence: 99%

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Simpson grade 3 resection does not improve clinical outcome in neglected thoracic psammomatous spinal meningioma? A case report

Azharuddin

Hutagalung

Kamarlis

2019

International Journal of Surgery Case Reports

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Highlights Thoracic spinal psammomatous meningioma is a rare subtype of meningioma often present with pain, sensory-motor deficit, and sphincter disturbance. Neglected spinal cord compression can result in a permanent neurological deficit. Surgical resection of the tumor relieved the spinal cord in a neglected case. The severe preoperative neurological deficit as a predictor of a poor prognosis. The neurological function after surgery hardly returns to the functional stage in a neglected case.

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Section: Discussionmentioning

confidence: 99%

“…Spinal meningioma accounts for 25%–46% of all intraspinal tumors, 85% of which are intradural, 7% with extradural extension, and 8% entirely extradural [1,2]. They are common in the middle age group, and most of them are benign, most of them being nerve sheath tumors and meningioma.…”

Section: Introductionmentioning

confidence: 99%

Simpson grade 3 resection does not improve clinical outcome in neglected thoracic psammomatous spinal meningioma? A case report

Azharuddin

Hutagalung

Kamarlis

2019

International Journal of Surgery Case Reports

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Functional outcome after surgical treatment of spinal meningioma

Hohenberger

Gugg

Schmidt

et al. 2020

Journal of Clinical Neuroscience

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Surgical results of the resection of spinal meningioma with the inner layer of dura more than 10 years after surgery

Tominaga

Kawamura

Ijiri³

et al. 2021

Sci Rep

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Most spinal meningiomas arise from the thoracic dura in middle-aged and elderly women. Simpson grade 1 resection is recommended to avoid recurrence. For ventral and ventrolateral tumors, reconstruction after total dural resection is difficult, and spinal fluid leakage is likely. To overcome this concern, Saito et al. developed the technique of resecting the tumor with the inner dural layer, preserving the outer dural layer. Although meningioma rarely recurs, the recurrence period is approximately 8 years postoperatively. No studies have evaluated long-term (> 10-year) outcomes of the Saito method. Here, we report 10 cases of the Saito method with > 10-year follow-up and compare outcomes with those of other standard approaches. Twenty-nine pathology-confirmed meningioma patients underwent surgery in our department, ten with the Saito method. We investigated resection method (dura mater treatment), pathological type, and recurrence and compared pre- and postoperative clinical findings. The median follow-up was 132 months. Recurrence occurred after Simpson grades 3 and 4 resection. Simpson grades 1, 2, and the Saito method resulted in no recurrence. Neurological symptoms improved in all patients at final follow-up. This is the first report of long-term outcomes of the Saito method. The method achieved good neurological improvement with no recurrence in > 10-year follow-up.

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Simpson grade 2 resection and tumor recurrence in ventrally localized spinal meningiomas

Abstract: Simpson grade 2 resection in ventrally located spinal meningiomas results in low complication rates and is satisfactory in terms of recurrence.

Cited by 3 publications

References 13 publications

Simpson grade 3 resection does not improve clinical outcome in neglected thoracic psammomatous spinal meningioma? A case report

Simpson grade 3 resection does not improve clinical outcome in neglected thoracic psammomatous spinal meningioma? A case report

Functional outcome after surgical treatment of spinal meningioma

Surgical results of the resection of spinal meningioma with the inner layer of dura more than 10 years after surgery

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